- 1 day ago
999 - On the front line S14E02 (1st Mar 2026)
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00:01Ambulance service is patient breathing.
00:04She's extremely dizzy and can't stand up.
00:07Hang on, she's going to fall over.
00:09My mum's in a lot of pain in her face.
00:12She can't swallow food.
00:14I don't know what is wrong with that.
00:16I think she's having a breakdown.
00:20Righty-ho, let's get them bad boys on.
00:24West Midlands Ambulance Service looks after almost six million people.
00:28I love the fact that not just every shift's different,
00:31every job's different.
00:32Do you remember everything that's happened?
00:35It looks like you're having a heart attack.
00:39Saving lives and making a difference every call-out.
00:42Is she breathing normally?
00:45Water variability of Helimuth.
00:48Embedded with eight emergency crews.
00:51Could be anything, couldn't it?
00:52Okay, okay.
00:54Filming simultaneously across the region.
00:58Time is everything in our job.
01:00Just relax.
01:00Relax for me.
01:01Can you open your mouth as wide as you can?
01:05Capturing life.
01:06How's your vision?
01:07You got it?
01:08Oh!
01:08On the front line.
01:10I go to work every day and I make a difference.
01:21Do you reckon it's going to get cold tonight?
01:24Stay warm.
01:24Do you reckon?
01:25Yeah.
01:26See, I'm going for cold because there's no clouds in the sky.
01:30What did you have for Team Morgan?
01:31I had burgers.
01:32What did you have?
01:33I had jack potato, beans.
01:35Oh, vile.
01:37Is that what you have on it?
01:38What would you have on a jack potato?
01:39I would have cheese.
01:41That's disgusting.
01:42Are you joking?
01:43I feel sick from what you have.
01:45That is vile.
01:46I literally can't even look at you.
01:50Just booking on Jack Tien and Sharnie Jones.
01:52Thank you, sweet.
01:53I'll book you on.
01:53Have a good shift, everyone.
01:55Thank you very much.
01:56Same to yourselves.
02:07Are you more of a text person or a phone call person?
02:11I'm a bit of a nightmare with my phone, but I do prefer to text.
02:16I prefer a text, but then I'm awful at texting.
02:19It takes me at least six or seven working days for me to get back to you.
02:22Working days?
02:23Working days.
02:23Not on the weekends.
02:24The one that gets me, and it really winds me up.
02:27When someone texts you, they send you one message,
02:29and then another, and then another, and then another.
02:31Yeah.
02:31And then it's like just one sentence.
02:33Put it in one message.
02:34One paragraph.
02:35I completely agree.
02:36You know when you're doing this back and forth text
02:37and people are replying super quickly,
02:39and then they reply to your text before you've finished doing
02:41your little seven texts, and you can't keep up.
02:44I'd just rather ring them.
02:45I get sore thumbs.
02:47You know what?
02:47The best conversation I have is with my dad.
02:49I'll ask him something, or I'll tell him something,
02:51and I'll just get a thumbs up.
02:53Oh, yeah.
03:09I started buying the pick and mixed cups.
03:11Oh, yeah.
03:12Oh, I'm addicted.
03:14You have to, like, tactically stack it, though, don't you,
03:15so that you can get the full max amount of sweets.
03:18Like, yeah.
03:18Fist pump and lower to fit more in.
03:21And then you strategically buy the jelly beans to fit in the holes
03:24and the gaps.
03:26And then the lid is always, like, that curved.
03:29Pick and mix from the shops is a skill and an art form.
03:33It just sounds like you do it, like, probably on the daily
03:36from the technique that you use.
03:38No.
03:38It's just a technique built up over years of practice.
03:41And how long would one of those cups last you?
03:43Not long.
03:44Look at the size of me.
03:46I've now upgraded from the small cup to the middle cup.
03:49Ooh!
03:50It's only going one way, slippery slope.
03:53Ha, ha, ha, ha, ha, ha.
04:03Amblin, Asian breathing?
04:06Yes.
04:08No conscious and awake?
04:10Yeah, conscious but not awake.
04:12So is she responding to you?
04:14No.
04:16She's having seizures, man.
04:23Cat one.
04:25Hold on tight.
04:27Two, five.
04:29Patient has had a seizure.
04:33A seizure will always come through as a cat one
04:35because you don't know what condition the patient's
04:37going to be in when you get there.
04:39You're automatically thinking,
04:40are they going to be struggling breathing?
04:42Could they go into cardiac arrest because of it?
04:45Or respiratory arrest?
04:47And neurological damage, ultimately,
04:49because when you're having a seizure,
04:50you're not getting enough oxygen to your brain.
04:52So it's making sure that we're there
04:53and we can try and stop it as soon as we can.
05:01Hello?
05:03Hi, mate.
05:05Hi, mate.
05:05Hi.
05:06I'm Mark.
05:06This is Amy.
05:07Hello.
05:08You're out of the car, mate.
05:10Hello.
05:11Stacy.
05:13Stacy, can you hear me?
05:16Stacy?
05:19Can you open your eyes for me?
05:20How many drinks have she had tonight?
05:22Okay.
05:23Bare half a bottle.
05:26Just doing your blood pressure, okay?
05:32When 29-year-old Stacy had a seizure tonight,
05:36her friend Anthony called 999.
05:40Just take your temperature.
05:43Hello, Stacy.
05:44Sorry.
05:4537-8.
05:46She's a bit toasted.
05:49Come on, Stacy.
05:50Can you have a sit-up for us, please?
05:53Don't kill you.
05:54Bobby.
05:55Bobby.
05:55As Mark and Amy begin to treat Stacy,
05:58a man enters the flat from outside.
06:018.
06:018.
06:028.
06:038.
06:038.
06:038.
06:07If she can do what you do, I'll do what I'll do.
06:10I was quite concerned and quite scared of this other man,
06:13of what he was going to do.
06:18This is one of those strange jobs where alcohol is obviously
06:21influencing people's behaviours.
06:25What are you doing, sir?
06:27No, no, no, no.
06:27Sir.
06:29No, don't, please.
06:32I thought it was very odd that this man was drawing on this
06:36patient's face.
06:37He claimed to be the patient's friend,
06:38but you wouldn't draw on your friend's face when they're unwell.
06:44Stacy, should we help you up, mate?
06:46Come on.
06:48Ready?
06:48You can lean on me.
06:50Right then, Stacy, can you tell me what's happening?
06:53What's happened this evening?
06:54I'm sick.
06:56You feel sick?
06:57I've been sick as well.
06:58You have been sick.
07:00Have you had a bit too much to drink this evening?
07:04No.
07:05Come on, my lovely.
07:07Shall we roll over?
07:10There we go.
07:12Come on, let's have a sit-up.
07:15Who are you?
07:16Paramedic team.
07:18Paramedics.
07:19I've been to you before.
07:20Paramedics?
07:21Yeah.
07:22I'd previously been attending Stacy's property a few months earlier, so I was aware of Stacy's
07:28alcohol dependence, so I knew it was going to be difficult to communicate, difficult to get Stacy to do what
07:34we wanted because of the alcohol.
07:36Come on, my lovely.
07:39That's it.
07:40Have a bit of a walk over to the sofa.
07:44There we go.
07:44There we go.
07:44Keep on going.
07:45Keep on going.
07:46Blank yourself on there.
07:47There we go.
07:48Wonderful.
07:50There we go.
07:52Do you want to take this jumper off?
07:54Have you got anything underneath?
07:55Yeah.
07:56Because you've got a bit of a temperature.
07:59Arms up in the air.
08:00Like we just don't care.
08:04There we go.
08:06That'll cool you down a bit, man.
08:09Can I sit these on your wrist?
08:14Stacey, any allergies, bub?
08:17Hospitals.
08:18Hospitals.
08:19Fair comment.
08:20Fair comment.
08:20We have the same feeling.
08:23Right.
08:24Nice and still for me.
08:27So, quick question.
08:29Do you want to go to Holland?
08:30Hospital?
08:30Do you not want to go to hospital?
08:32No.
08:37When she was on the floor, was there any, like, shaking at all?
08:40Yeah.
08:41Yeah, yeah.
08:41There was shaking.
08:43OK.
08:44And she wasn't...
08:45Alcohol-induced epilepsy.
08:46Oh, got you.
08:48What's on your medical note, that's all?
08:51Alcohol-induced epilepsy is exactly what it says on the tin.
08:56She suffers from seizures and sometimes it can be due to drinking too much alcohol.
09:01Are you sure you don't want to go to hospital?
09:03Yeah.
09:04Are you sure?
09:05OK.
09:06Are you sure we can't convince you to come with us?
09:09I'd advise to try and stay well from the alcohol if you can.
09:13Let me just take these off you.
09:26You OK?
09:30Oh, that sounded like a bit of a bang.
09:32When I heard that bang, I'm thinking, has the patient fallen over?
09:36Is she OK?
09:37Is she injured at all?
09:39Ultimately, I was hoping that she wasn't having another seizure.
09:41What's just happened?
09:43Stacey, can you talk to me?
09:59You know, in England, if something's banging, like, that's really good.
10:03Yeah.
10:03Like, oh, yeah, those cheesy chips are banging.
10:06Yeah.
10:06In the Isle of Man.
10:07Is that bad?
10:07It's bad, yeah.
10:09Like, oh, so I'd be like, ugh, those, ugh, those chips are banging.
10:14It means that they're gross.
10:15And it took me a while to, like, figure that one out.
10:19They'd be like, why are you pulling that face for?
10:22And I'm like, it's banging, it's gross.
10:23They're like, what?
10:24No, banging over here means great.
10:27Good, yeah.
10:27I don't even know if people use that anymore.
10:29Banging?
10:30No, it's outdated.
10:33We're too old for banging.
10:35Even just places, like, within England, it's just so different, isn't it?
10:40Yeah.
10:40So, in, like, Stoke, you say, oh, just go up the bank.
10:43Like, people won't know.
10:44What does that mean?
10:45It's up a hill.
10:46You know what I mean?
10:47It's just at the top of the bank.
10:48What?
10:55Ambulance services, the patient breathing.
10:58Yes.
10:58What's the reason for the ambulance?
11:01She's extremely dizzy and can't stand up.
11:04Hang on, she's going to fall over.
11:06Put me on the floor, please.
11:08Sorry, she's going to...
11:09I think she's going to be sick.
11:13We're going to a 69-year-old female.
11:16Dizziness.
11:17No notes.
11:20But it does say Union Canal.
11:23I'm going to guess she's in a barge.
11:26And I can't say I'm the biggest fan of barges.
11:31Immediately thinking, how are we going to get them out?
11:35You can't just, you know, throw them over your shoulder
11:38and carry them out that way.
11:45Hi, my name's Harmony.
11:46Hi.
11:47Which one are we?
11:48That one there, isn't it?
11:49That one there, but you're probably using...
11:50Just that system from this bit.
11:52OK.
11:53A neighbour helps Kira and Brooke find the right narrowboat.
11:57It is quite obviously narrow.
12:00It's quite limited.
12:01Am I on the bottom step?
12:03No.
12:05Oh, she's on the floor.
12:19Oh, bless you.
12:20Hi, Jenny.
12:21Hi.
12:22My name's Brooke.
12:23And we've got Kira as well.
12:26You're feeling dizzy.
12:27Is that right?
12:28Yes.
12:28Yeah.
12:29I feel a bit disoriented.
12:31OK.
12:32I'm going to be sick.
12:34Yes.
12:34Oh!
12:39Paramedics Brooke and Kira
12:40are with retired primary school teacher Jenny,
12:43who's holidaying on a narrowboat.
12:46When she became dizzy and sick,
12:48husband Nick called 999.
12:53So, your blood pressure at the minute's OK.
12:55I know you're feeling dizzy,
12:56but for us to do some more assessments,
12:59would you be able to have a sit on this chair?
13:01Yeah.
13:01If we give you a hand up?
13:02Yeah.
13:02Yeah?
13:03If you want to just try and swing your legs,
13:05that's it.
13:06So they're straight.
13:07Where are we?
13:08On the boat, yeah.
13:11Ready?
13:12One, two, three.
13:14Oh!
13:16That's it?
13:17Yeah.
13:18Fabulous.
13:19I'm just going to do your blood sugars, OK?
13:23One, two, three.
13:26Jenny's observations all appear normal,
13:28but there could still be an issue with her brain.
13:32Where are we, Nick?
13:33We're on the boat jump.
13:35And where's the car?
13:37The car's just over there.
13:39OK.
13:40Do you know what day it is today?
13:44Er...
13:45Now, let me think.
13:46I want to see if you can figure it out.
13:48Let me think.
13:51Well, I was going to say 2024, but I don't think that's right.
13:55Not quite.
13:57Er...
13:58What else did you ask me?
13:59What day it was?
14:01Yeah.
14:01I don't know, to be truthful.
14:03I don't think that's a worry.
14:06This state of confusion is new for Jenny and a worry for her husband, Nick.
14:12Did you call 999?
14:13Yeah.
14:14Yeah.
14:14What happened to me?
14:16You were on the floor when we got here.
14:18Oh, I didn't know that.
14:19Yeah.
14:20Did you call 999?
14:22Yeah.
14:22Oh, right.
14:23Oh.
14:24Oh, my goodness sake.
14:28Repetitiveness is a bit of a red flag for us in terms of something neurological going on.
14:32It doesn't necessarily mean that she's having a stroke, but it could be a sign towards something neurological happening.
14:39But you're having this dizziness and you've got a little bit of repetitiveness.
14:42You're kind of saying a few things again and again.
14:45I don't know if you're realising that you're doing it.
14:47But I think all of that together warrants a trip up to hospital.
14:52And now it's just about getting you out, because you're not very steady on your feet, are you?
14:57We thought maybe it could be that she's having a bleed potentially that is developing as we're spending more time
15:03on scene.
15:04Did concern us a bit, didn't it?
15:06Yeah.
15:06Just because she wasn't getting better, she was actually deteriorating, if anything.
15:09It certainly amped up the pressure of it's getting worse.
15:11We need to get to hospital as soon as possible, because we need to rule out that it's not something
15:15going on in her brain that we can't see.
15:19You ready?
15:20Yeah.
15:20That's it.
15:21We'll get you either side.
15:22Hold on to us.
15:22OK.
15:25You go for it.
15:29It's OK.
15:32Nice and steady.
15:33Are we at the boatyard?
15:34Yeah.
15:35We haven't moved.
15:36No, we haven't yet.
15:38That's it.
15:41Oh, no.
15:42It's OK.
15:43Take a step and then step onto this one.
15:47Take a step.
15:48That's it.
15:48Be careful with your foot.
15:49Just move that foot a little bit further forward.
15:51That's it.
15:51The blood pressure is OK.
15:53The blood pressure is OK.
15:53So we were quite happy with that in terms of her standing and her not, like, passing out.
15:58But then it wasn't just as simple as getting her from her boat onto land.
16:02It was that we had to go over, like, another boat as well.
16:04Right.
16:05Hold on to me.
16:07Think you can do that big step?
16:09Well done.
16:10That's it.
16:11Well done.
16:13That's all the hard work done.
16:15With Jenny free of the cramped conditions of the narrowboat, Brooke and Kira can now treat her more easily on
16:21the ambulance.
16:26What day is it, Nick?
16:28Is it the day we came on the boat?
16:30It is, yes.
16:31I didn't know we came on a Friday.
16:34We haven't actually sailed anywhere, have we?
16:37No.
16:37I don't remember anything, really.
16:39Right.
16:40Can I have this arm?
16:41I'm just going to give you an anti-sickness, OK?
16:45Right.
16:45I'm going to jump in the front and start heading towards Stoke.
16:49Jenny and Nick were about to start a four-day canal holiday, but now she needs specialist medical treatment.
16:57So, explain to me, Nick, what's happened.
17:00What's happened?
17:01Well, I don't know.
17:02I've forgotten.
17:04I mean, I haven't forgotten.
17:05I can't remember.
17:13Right then, darling.
17:15At Royal Stoke University Hospital, Jenny will have scans to see if her dizziness and confusion are neurological.
17:29I have no idea what was going on with her.
17:32To me, it screams neurological.
17:35Oh, yeah.
17:36Do you reckon it was a stroke?
17:37I don't know.
17:38It's all very strange, wasn't it?
17:40Yeah.
17:40I'm just glad she could walk because...
17:42Oh, my gosh!
17:43I don't think we would have got her off.
17:44That would have been so hard.
17:48It's all you can...
17:50It's all you can...
17:50It's all you can...
17:50It's all you can...
17:51It's all you can...
17:52It's all you can...
17:53It's all you can...
17:54What's just happened?
17:57In Starobridge, paramedics Amy and Mark are with Stacey, who's had an alcohol-induced seizure tonight.
18:05After refusing to go to hospital, she's just collapsed again.
18:10Stacey, can you open your eyes for me?
18:13Can I have your finger?
18:17Hello, kitty cat.
18:19Come on then, Stacey.
18:20You okay?
18:21Shall you have her sit up again?
18:24Yeah.
18:26Your head.
18:27Does it hurt a little bit?
18:28Shall we help you onto the bed, Stacey?
18:30Yeah.
18:31Yeah.
18:31Come on then.
18:33Ready to stand?
18:34Ready.
18:35Push through your legs.
18:35Steady.
18:36Stand.
18:37That's it.
18:41There you go.
18:45And you still don't want to come to hospital with us?
18:48I don't know.
18:50I don't know anymore.
18:52What's happened to me?
18:56I think you've had a couple of non-epileptic seizures.
19:09What are we thinking, Stacey?
19:18It's entirely up to you, mate.
19:21You're staying here?
19:22Yeah.
19:24I thought you'd say that.
19:26Right.
19:27Get some sleep.
19:28Look after yourself.
19:29All right, bub.
19:30Look after yourself, Stacey.
19:31All right, mate.
19:31No one is at all.
19:34Take care.
19:36In this case, I believe Stacey needed to go to hospital.
19:39But ultimately, we can't force anyone to go to hospital if they don't want to go.
19:43We can't drag them kicking and screaming.
19:46So, in this case, we did have to leave Stacey at home because that was what she wished for.
19:53That man was a bit of a joke, wasn't he?
19:56Yeah.
19:56Putting that pen all over her face.
19:57Yeah.
19:57Like, what was that all about?
20:00Yeah.
20:00Why would he do that?
20:01No idea.
20:16I've got an ambulance centric question for you.
20:19Okay.
20:20Which siren is your favourite?
20:23The second siren, you know, the close together one.
20:26The wee-woo.
20:27Yeah, yeah.
20:27The classic.
20:28Wee-woo, wee-woo, wee-woo.
20:32Wee-woo, wee-woo.
20:33It's like I'm actually there.
20:35I can't do it.
20:36The piercer one, the last one, is just very loud and very, like, well, it pierces your ears.
20:41It's not nice to listen to for a while.
20:42It's useful, though.
20:43It is useful.
20:52Ambulance service, is the patient breathing?
20:54She is.
20:56Okay, and what's the reason for the call?
20:58I'm the doctor triaging the call.
21:00It's a 83-year-old lady.
21:02She's having diarrhoea, vomiting, not keeping any fluids down.
21:07Okay.
21:08Not eaten for a few days.
21:13We've been allocated a 83-year-old female reporting dizziness, and she's currently bed-bound.
21:21An elderly patient with these kind of symptoms, weakness, diarrhoea, vomiting, and not eating,
21:26you're thinking about their recovery time, and how they aren't as able to bounce back
21:30from an illness as somebody who's younger would be able to.
21:41Hiya, duck.
21:42I'm Jack, and this is Sarnie.
21:44Hello.
21:44What can we help you with, sweetheart?
21:46What's going on?
21:48Is this your daughter?
21:49Granddaughter.
21:50Do you want your granddaughter to tell us what's going on?
21:53She's very weak.
21:55Like I say, she can't eat or drink.
21:56Hit you like a truck, has it?
21:58Pain on her left side here.
22:00And to me, her stomach does feel fine.
22:03So when was the last time you had a normal poo?
22:07Weekend.
22:08Last weekend.
22:09Okay.
22:10When was the last time you were up and out of bed?
22:13Tuesday.
22:14Tuesday.
22:1683-year-old Maureen has been ill in bed for three days.
22:20Granddaughter Kirsty called her GP, and he rang 999.
22:25Husband Bill is by her side.
22:29Let's have a look at your ticket, see what that's doing.
22:31The best description she's said is she feels like she's been kicked around like,
22:36High Stoke City football team.
22:37High Stoke City football team.
22:39Is she going to pop these stickers on your chest, sweetheart?
22:42The stock is bubbling like anything.
22:44I've heard it.
22:45I've been sitting here and I've heard it.
22:47Can you just try and stay nice and still for me, Maureen?
22:50Jack runs an ECG to check Maureen's heart.
22:54Let's have a peek at this.
22:56Have you ever been told that you have some extra little heartbeats every now and again?
23:01I used to have them.
23:02Used to have them.
23:04That could explain it.
23:06You have just every now and again, you just have a little extra boom.
23:09It just drops it in randomly.
23:12So they're not that regular.
23:14Can I have a feel of your tummy?
23:16Will that be okay?
23:17I'll start on this side.
23:19Nothing on there.
23:20Nothing on there.
23:21So that's all okay.
23:22That's all right.
23:24There.
23:24There.
23:25So that's where the most painful bit is.
23:27Okay.
23:28Yeah.
23:29So your tummy does feel a bit swollen.
23:31Your pain's right over that side, which is like stomach, a bit of intestine.
23:35I can't really leave you here if you can't get out of bed.
23:38So I think we have to have a trip up to Royal Stoke.
23:41I decided to take her to hospital because of the length of time that her symptoms had been going on
23:46for.
23:46And we'd hit a point where she needed a little bit of outside help from an A&E department to
23:52recover and get back to how she normally was.
23:54Now my next question is, how are we going to get you out?
23:58How are we going to get you out?
24:12How are we going to get you out of bed?
24:26Tell us a bit.
24:30How are we going to
24:41That's it, you've landed.
24:43Perfectly done.
24:45Shadden out.
24:46If you lean back a little bit for me.
24:49When I saw the stair lift, very Geordie of me,
24:52but I thought, Belter,
24:53meant that we don't have to carry Maureen down the stairs,
24:55so we get her down to the ambulance nice and quickly.
24:58There you go.
25:00Perfect.
25:02Ready, steady, lift.
25:05I told you that'd be easy, didn't I, Maureen?
25:07Yeah.
25:09There we go.
25:11We're having these.
25:14Maureen, you did fantastically.
25:17I bet you feel like you've just ran a marathon.
25:19I was in operation.
25:20You did amazing.
25:25How did the two of you meet?
25:27Starting with a kiss and a tea dog.
25:29We've been married 65 years in October.
25:3365 years, eh?
25:36What's the secret?
25:38We'll make it together.
25:39Yeah, we'll work together.
25:40Work together.
25:42Yeah.
25:42At this point in time, I don't see myself doing anything for 65 years.
25:46But I'd like to find somebody brave and stupid enough
25:49to be married to me for that long.
25:51OK, I think we're just about here now, Maureen.
25:55At Royal Stoke University Hospital, doctors will help Maureen start eating and drinking again.
26:02They'll also carry out tests to work out what's causing her pain.
26:22Maureen's emergency call was answered here, where a team of call assessors are available 24-7.
26:29I have this deep innate feeling that I am doing this job for a reason.
26:35I really want to be a part of something bigger than me.
26:38I like to think that I have impacted that person's life in a positive way.
26:44Ambulance service, is the patient breathing?
26:47Yes.
26:48And is the patient awake?
26:51Yes.
26:51And what's the reason for the call?
27:09Is it that she's been removed from her house or that she's locked herself out?
27:33OK, no, we're going to help her.
27:37A lot of the time, people don't volunteer information on certain circumstances.
27:43You can hear it in somebody's voice.
27:46There's more to this story.
27:48She lost any blood from anywhere?
27:52All her knees are all knocked out and scuffed.
27:56Though I need some dressing on her knees.
27:59I'm all bleeding.
28:00OK, has anyone harmed her?
28:04Well, that's not for me to say.
28:07OK, can I speak to her?
28:09Hello.
28:10Hello there, my sweet.
28:11It's the ambulance service.
28:14Yes.
28:14What's been happening tonight?
28:16I was climbing some branches.
28:19Stay in a while.
28:20You've been climbing what?
28:21You've been climbing some branches?
28:23Fences.
28:24Oh, fences.
28:25Yes.
28:27And what were you climbing the fences for?
28:33Oh, you were trying to get into the back of your property?
28:40Oh, you was climbing...
28:41Right, OK.
28:42OK.
28:43And is there somebody in your property that you're trying to get away from?
28:49Hold on, discuss it, please.
28:53In a situation like this where I have suspicions but haven't directly been told that there may
29:00be a risk or a threat there, basically, you know you need the police there.
29:06Other cases need a bit more investigation.
29:09OK, when did this happen?
29:12A couple of hours ago.
29:14All right then, my sweet.
29:15So, what we're going to do, we are going to get some help arranged, OK?
29:20So...
29:21Yeah.
29:21Do you just need to speak to one of our clinicians so I can arrange some further help, OK?
29:26So, we'll call back shortly.
29:28OK, thank you.
29:29All right, my sweet.
29:30You take care.
29:32Bye-bye.
29:32Bye, bye-bye.
29:35Uh, 3638.
29:37I've put it in there.
29:39It's a possible safeguarding more than anything.
29:42When we refer a case to safeguarding, it usually means that there's a vulnerable person
29:47or a vulnerable situation.
29:49It's a very wide range of things why somebody may be safeguarded.
29:54It means this person needs extra support and they need a safety net and they need a blanket
29:59of help.
30:01The neighbour, she's run to the neighbour's house.
30:03Naked from the waist down.
30:04No shoes.
30:05No shoes.
30:06Thankfully, the neighbour's taken her in and...
30:10I know.
30:11It's horrible, isn't it?
30:12It means that there are a lot of small fences.
30:12It's a lovely thing to get from her.
30:13It might be to be on pause.
30:19Look at that.
30:27Oh, what a chunky cat.
30:29It was tiny!
30:31Yes!
30:34In 15 seconds!
30:34It broke up, quiet.
30:35We'll drive back.
30:35It's a bigобразous chair.
30:35Oh, what a chunky cat.
30:41I didn't like that. That scared me, that did. That scared me!
30:47Was it a chunky cat?
30:48It might have been a chunky cat. Or was it a badger?
30:50I remember it looking us in the eyes, and that was not...
30:54That must be why we screamed.
30:56That was not a cat. I don't know what it was.
30:59I don't want to know what it was.
31:01A wild animal across the road shaking its little booty.
31:06It looked as if it was like, I am no cat!
31:11I've never saw a badger before.
31:13That was terrifying.
31:23I'm in a service with the patient breathing.
31:26The patient is breathing, but I don't know what is wrong with her.
31:30Okay, is she awake and conscious?
31:32Yes. If can I have an ambulance, I don't know what is going on.
31:37Okay, what's happening with her at the moment?
31:40She's just this, thinking...
31:42I think she's having a breakdown.
31:51Female, cartoon, mental breakdown.
31:54Was there anything else on there?
31:56Just mental breakdown.
32:00My thoughts were, mental health, this could be absolutely anything.
32:04It could have been a case where this patient had really injured themselves,
32:09or someone else, so it was just a matter of urgency to get there.
32:13Police are here.
32:16I hail you most high.
32:23What's going on?
32:25She's just been trying to do some information after you get her.
32:29The patient is said to have assaulted a member of staff and the police.
32:33As a result, she's been arrested.
32:35The patient's mother is with her.
32:38Is this how she normally is?
32:40Never.
32:41Okay.
32:42I've never seen her like that.
32:43I'm actually worried.
32:45Do you think you can calm her down?
32:47No.
32:47No.
32:50Hello?
32:52What's going on?
32:53She's not responding.
32:55Okay.
32:56Right, let's get her on ambulance.
32:57We'll do her checks on there.
32:59We need to get you up onto an ambulance.
33:01Are you going to work with us?
33:03I'm going to kick you up.
33:04There you go.
33:06There you go.
33:06Come on.
33:09Daisy and Morgan need to check if the patient is well enough
33:12to be taken into police custody.
33:16Just sit her here for me.
33:18Don't wait to sit her for me.
33:20The lady was shouting, screaming, I hail you.
33:25To us, it was coming across like some sort of script from the Bible
33:32and she was just preaching that.
33:35I hail you.
33:38She was chanting.
33:39It sounded like religious chanting.
33:42I had never seen anything like it before.
33:44I hail you most high.
34:03I really struggle with some words.
34:05I don't know whether it's my accent or my lips or what,
34:08but it comes out upside down, backwards.
34:11What's that word that everyone struggles to say?
34:13It's like anonymously.
34:17Anonymously.
34:18Isn't this the two Ns? Anonymously.
34:21A-N-O-N.
34:22That's as much as you're getting from me.
34:24I don't know.
34:26Anonymously.
34:27Anonymously.
34:28I know what you mean with some words.
34:30It's how you say it, isn't it?
34:31Oh, what's the word I like?
34:34Kylidoscope.
34:34A what?
34:37Kaleidoscope.
34:39Kaleidoscope.
34:39But do you know what it is now?
34:41No.
34:42You look through like a tube.
34:45That's what I was about to say, yeah.
34:46With the glittery picture things at the end,
34:50and then you turn it,
34:52and it all falls,
34:54and it's all different colours and shapes.
34:56A kaleidoscope.
34:57Kaleidoscope.
34:57There we go.
34:58Is that what it is?
34:59Kaleidoscope.
35:00Kaleidoscope.
35:03Kaleidoscope.
35:08Beep.
35:09Beep.
35:10Beep.
35:11O, what is the patient breathing?
35:14Yeah, but in pain...
35:15What was the reason for the call, please?
35:17My mum's done a lot of pain.
35:19She's saying pain where?
35:20In her face.
35:22In her face?
35:22Okay, in her back.
35:23And she can't swallow food.
35:25it's got gradually got worse over the last couple of days right we've got a
35:31category 2 a 90 year old lady chest pain back pain lip swelling difficulty
35:38swallowing and pain so let's have a look
35:44this lady it stated she was 90 and she was in a lot of pain so I think
35:48instantly we started to think what kind of pain is she in where is it coming
35:52from and how much is it affecting her with obviously her age
36:00I don't think you're right hi sweetheart I'm Nick this is Kyra is that 18 you do
36:08let me have a check your pulse 90 year old Nova has been suffering with pain in her
36:16back and mouth for the past four years but tonight when the pain became unbearable
36:21daughter Sue called 999 we'll get all these checks sorted and then we'll make a
36:28plan of what we're going to do all right sweetheart every four minutes this is
36:34happening and it just comes in like it then it will go but she can't lean on her
36:40back pain in the back triggers the pain and face she can't eat a meal when it goes
36:47in her mouth she's getting a pain at the back of her tongue okay it was quite perplexing as to
36:54what
36:54was going on with the pain in the face the pain in the back how it was related so we
36:59were quite
36:59confused as to what was going on when you get this pain sweetheart I know this I know it's really
37:06difficult to describe pain but what sort of pain is is it burning stinging it's coming quickly are
37:14you ready yeah it's on go it's coming it's coming more frequently yeah okay blood pressure's high at
37:20the minutes could be because of the pain that would make sense I'm just gonna do it a little pin
37:27prick on
37:27your thumb sweetheart sharp scratch okay can I pop these stickers across your chest to do an ECG so
37:35all right because your heart rates jumping around a little bit yeah anything you want Nick carries
37:42out an ECG this will provide a trace of Nova's heart and might give a clue as to what's causing
37:49her
37:49pain have you still got your tonsils no where's that accent from okay I thought it was somewhere
37:57down there yeah you don't sound like a stokey duck in your mouth yeah you okay too but you can
38:08tell
38:08why are your lips swollen oh up there okay okay and under there does it feel sore yeah whenever
38:21anybody is in any pain or discomfort in the mouth we have to be very careful of the airway because
38:28it
38:28needs to be kept clear at all times so we have to consider this allergic reaction any damage with Nova
38:35we could see that she was in pain but we had absolutely no idea what was causing it let me
38:40have a little listen to your chest we thought a good pain I'm starting again just like comes in spasms
38:48don't it we need to get you sorted out breasts are fine because she's able to sing so she's not
39:00lacking
39:18in Birmingham paramedic Daisy and student paramedic Morgan are with a patient who's been arrested she's
39:25allegedly assaulted reception staff and the police we can't see any abnormalities the heart rate was a
39:42little bit high wasn't it yeah it was up a little bit we didn't do an ECG to sort of
39:47rule out anything
39:47to do with that but she was quite erratic yeah we would expect the heart rate to be a little
39:53bit
39:53higher than we don't think there was anything medical going on no not at all
40:17Daisy and Morgan's observations show that this patient doesn't need to go to AME she can now be
40:23taken to the police station she is understanding what we're saying as well she's acknowledging
40:30when you said you said you can sing sing a bit quieter she went louder she's stood up when the
40:36best she's eye contact she understands we were there to determine whether the patient needed help
40:44medically or if it was something that the police needed to deal with and ultimately we decided that
40:49it was something for the police she's under arrest all right I don't understand I know I know she's
41:00under arrest yes she's done other things it was not a normal case it was no this is not what
41:07you see
41:07every day it was a bit of a mystery in terms of we didn't know exactly what was going on
41:12we couldn't
41:12pinpoint it oh dear I felt so from that yeah I did but then also she knew we were there
41:22she was
41:23acknowledging us she knew we were talking what a strange way to be I just don't get it I don't
41:31get why she started doing that like what is going through her head
41:44right plan of action in stoke paramedics Nick and Kyra are with Nova who's been experiencing severe
41:52pain in her face once we get the hospital we'll have a word and explain we need the specialist
42:00people on the ward that know more about this and they can hopefully start looking at medication we
42:07decided to take Nova to hospital due to us not really knowing what was causing this mouth pain
42:13and having a knock-on effect with the back more tests needs to be performed so we get down to
42:18the
42:18bottom of it right let's get rid of these you can have some oromorph now and then once we get
42:25the
42:25hospital we'll see what we can try and sort out for you oromorph is liquid morphine it's already
42:33prescribed for Nova by the GP to help manage her chronic pain right you're going to get on here
42:41ducky we're going to put a blanket on first wrap you up like E.T. it's all right there I'm
42:45not going
42:45to be riding like a bike otherwise we'll all be in hospital right we're ready sweetheart
42:55right door right door right so if we do you want to come okay breathe through it
43:03okay you lean back
43:07could you score out of 10 for me the pain zero nothing 10 being the worst pain
43:13well yeah they turn out of 10 sometimes it comes on quick okay are we happy yeah but if there's
43:23anything you need please let me know okay we're not quite the Hilton but we do our best
43:37oh you were the baby were you right oh really yeah I love your name it's so unusual
43:52but it's there you've gone backwards brilliant I really enjoy having a chat and that with the
44:01patients I'm quite a nosy person anyway but I find people really interesting Nova was so lovely
44:06it was really lovely chatting to her
44:11right then there'll be a couple of little bumps but we'll do it as gently as we can sweetheart okay
44:17at Royal Stoke University Hospital Nick wants to get Nova seen by a specialist to determine the
44:24cause of the excruciating pain in her face oh she was a lovely lady it's not nice when they're in
44:39so
44:39much pain and discomfort and we can't really do anything to open yeah really frustrating well
44:46hopefully she gets sorted she could be back with my hair with a little dog soon yeah Nova was
44:56diagnosed with trigeminal neuralgia a condition where nerves in the face get compressed she was
45:04monitored in hospital for 10 days and given new medication to better manage the pain Maureen had a
45:12scan that revealed she had an inflammation of her bowel she was given antibiotics to help treat the
45:19infection and after collapsing on a narrowboat Jenny had scans in hospital these showed she hadn't had a
45:29stroke doctors diagnosed an inner ear infection that can cause vertigo and nausea
45:41next time each legs have gone completely a man has a suspected stroke you know when you closed your
45:48eyes then did you feel like you were going lean into one side at all yeah we've only got a
45:53very short
45:54window of opportunity that we can help and save and treat that stroke so time really is not on our
45:59side while hiking a man falls injuring his leg when we got a call saying mountain rescue were on scene
46:07I think our first thought is where on earth are we going yeah and how are we getting there what
46:12we
46:13don't want to do is put any more strain on your heart all right and pain from coughing masks a
46:18heart
46:19attack I have to be careful how I explain it to him if we put any more stress on the
46:23heart that
46:24is already under it could be potentially fatal don't get upset we're going to look after you okay
46:38you
46:39you
46:41you
46:43you